Nayely Dominguez, is a medicare enrolled "Social Worker - Clinical" provider in Hollister, California. Her current practice location is
1131 Community Parkway, Hollister, California. You can reach out to her office (for appointments etc.) via phone at
(831) 636-4020.
Nayely Dominguez is licensed to practice in California (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265909923.
Healthcare Provider's Profile
Full Name | Nayely Dominguez |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1131 Community Parkway, Hollister, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265909923
- Provider Enumeration Date: 10/30/2018
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688115793
- Enrollment ID: I20240917001364
Medical Identifiers
Medical identifiers for Nayely Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265909923 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nayely Dominguez allows following entities to bill medicare on her behalf.
Entity Name | San Benito County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255461471 PECOS PAC ID: 2860655669 Enrollment ID: O20120515000022 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nayely Dominguez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nayely Dominguez, 145 Birch Ct, Chowchilla, CA 93610-9440 Ph: () - | Nayely Dominguez, 1131 Community Parkway, Hollister, CA 95023-3100 Ph: (831) 636-4020 |
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